Cumberland Family Care P.C.
A Medicare group practice based in Spencer, TN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8729041835), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8729041835
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- TN
- Enrollments
- 2
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20041110000115 | TN | Part B Supplier - Clinic/Group Practice | 1225003809 |
| O20060523000104 | TN | Part A Provider - Rural Health Clinic | 1184754111 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Cumberland Family Care P.C.
dba Cumberland Family Care Van Buren Clinic
- Family Medicine Physician
- Spencer, TN
- NPI 1184754111
-
Cumberland Family Care PC
- Family Medicine Physician
- Sparta, TN
- NPI 1225003809
-
Cumberland Family Care, P.C.
dba Cumberland Family Care Diabetes Self-Management Out-Patient Program
- Health Service Clinic/Center
- Spencer, TN
- NPI 1679771356
Practice locations
- Sparta, TN1
- Spencer, TN1
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (5).
-
Haidee Star Ballew, FNP-C
- Family Medicine Physician
- Spencer, TN
- NPI 1639988157
-
James Clark Childress
- Primary Care Nurse Practitioner
- Sparta, TN
- NPI 1316509334
-
Cameron Wayne Heady, PA-C
- Medical Physician Assistant
- Sparta, TN
- NPI 1306973425
-
Marla J Moore, FNP
- Nurse Practitioner
- Sparta, TN
- NPI 1740279397
-
Kimberly Nicole Parrish, FNP
- Family Nurse Practitioner
- Lebanon, TN
- NPI 1497344014
-
Ty T Webb, MD
- Family Medicine Physician
- Sparta, TN
- NPI 1174512974
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.